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Director of Claims and Savings Analysis

Posted 3 months agoViewed

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💎 Seniority level: Director, 10+ years

📍 Location: USA

🔍 Industry: Healthcare

⏳ Experience: 10+ years

🪄 Skills: LeadershipPythonData AnalysisSnowflakeCross-functional Team LeadershipStrategyCommunication SkillsAnalytical SkillsCollaborationMicrosoft Excel

Requirements:
  • Bachelor’s degree required; advanced degree in statistical analysis, health policy or a related field preferred.
  • 10+ years of experience in healthcare professional services such as actuary, claims analysis, consulting, or similar environments.
  • Experience managing a team of direct reports preferred.
  • Strong qualitative and quantitative analysis skills with proficiency in Excel; advanced statistical tools like Python or Snowflake preferred.
Responsibilities:
  • Own the creation and delivery of savings calculation methodologies.
  • Establish a roadmap for improvements in the savings analysis process and action plan.
  • Drive market-facing savings validation activities.
  • Oversee all claims repricing for clients and prospective clients.
  • Act as a subject matter expert in discussions across various functions.
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